The pharmacists point to middlemen in the industry called pharmacy benefit managers that they say are supposed to work to lower drug prices but actually do the opposite. But representatives for pharmacy benefit managers reject those claims and say pharmacists' concerns should be redirected toward drug makers.

When patients enter the Goochland Pharmacy, they expect greetings from familiar faces and personalized service.

The locally owned drug store planted its roots in the community more than four decades ago, and when only two pharmacies are open for business in all of Goochland County, the store's very existence, customers say, is crucial to accessing healthcare.

Its very important, very important," said 100-year-old Raymond Cooley, who has patroned the pharmacy since its opening. "The

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